| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
6,733 |
4,397 |
$264K |
| E0601 |
Cont airway pressure device |
3,733 |
2,525 |
$116K |
| A7030 |
Cpap full face mask |
1,599 |
1,111 |
$78K |
| A7031 |
Replacement facemask interfa |
2,064 |
1,437 |
$55K |
| E0431 |
Portable gaseous 02 |
4,542 |
3,059 |
$36K |
| A7035 |
Pos airway press headgear |
1,617 |
1,141 |
$17K |
| A7034 |
Nasal application device |
602 |
400 |
$17K |
| A7038 |
Pos airway pressure filter |
4,635 |
3,337 |
$17K |
| A7037 |
Pos airway pressure tubing |
1,111 |
782 |
$16K |
| E0562 |
Humidifier heated used w pap |
197 |
176 |
$7K |
| A4604 |
Tubing with heating element |
866 |
650 |
$6K |
| A7032 |
Replacement nasal cushion |
171 |
121 |
$6K |
| E0470 |
Rad w/o backup non-inv intfc |
87 |
63 |
$5K |
| A7033 |
Replacement nasal pillows |
93 |
67 |
$2K |
| A7046 |
Repl water chamber, pap dev |
359 |
270 |
$1K |
| E0570 |
Nebulizer with compression |
428 |
283 |
$1K |